Organization Active NPI

Cosent

  • Internal Medicine Physician
  • San Bernardino, CA
National Provider Identifier
1659941995
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COSENT
Practice address
401 E 21St St
San Bernardino, CA 92404-4845
Phone
(909) 881-3333
NPI assigned
Jun 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marlise Negrette
Title
Account Manager
Phone
(909) 793-5511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

401 E 21St St
San Bernardino, CA 92404-4845

Mailing address

6627 Murrietta CT
Rancho Cucamonga, CA 91739-9556
Phone (909) 793-5511

Other practice location 1

6627 Murrietta Ct
Rancho Cucamonga, CA 91739-9556
Phone (909) 793-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211206002160 CA Part B Supplier - Clinic/Group Practice 2961892930 Receives reassigned benefits from 3 practitioners
Practice locations: San Bernardino, CA

National Provider Directory

National Provider Directory

Locations

355 E 21st St
Ste E
Sn Bernrdno, CA 92404
Phone (909) 882-6474

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1659941995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6627 MURRIETTA CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917399556",
            "telephone_number": "909-793-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 21ST ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044845",
            "telephone_number": "909-881-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6627 Murrietta Ct",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917399556",
            "country_code": "US",
            "telephone_number": "909-793-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COSENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "NEGRETTE",
        "authorized_official_first_name": "MARLISE",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "909-793-5511"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.